Healthcare Provider Details

I. General information

NPI: 1487019956
Provider Name (Legal Business Name): DEANNA S MARKESTEYN LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEANNA S MAPEL MARKS

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 N PARK PL
YELLOW SPRINGS OH
45387-2052
US

IV. Provider business mailing address

402 N PARK PL
YELLOW SPRINGS OH
45387-2052
US

V. Phone/Fax

Practice location:
  • Phone: 937-956-0232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2001692-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: